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Is the Modified Early Warning Score (MEWS) superior to clinician judgement in detecting critical illness in the pre-hospital environment?

ResuscitationPublished 14 January 2012
James N. Fullerton, Charlotte Price, Natalie Silvey, Samantha Brace, Gavin D. Perkins
Citations141
SJR quartileQ1
SJR score2.03
SNIP2.18

TL;DR

Clinical judgement alone has a low sensitivity for critical illness in the pre-hospital environment and the addition of MEWS improves detection at the expense of reduced specificity, and combination systems of MewS and clinical judgement may be effective.

Abstract

Clinical judgement alone has a low sensitivity for critical illness in the pre-hospital environment. The addition of MEWS improves detection at the expense of reduced specificity. The optimal scoring system to be employed in this setting is yet to be elucidated.

Keywords

Medicine